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This is VAERS ID 525647

Case Details

VAERS ID: 525647 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-03-13
Entered: 2014-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Blood test normal, Electrocardiogram normal, Endometriosis, Fatigue, Hypertension, Hypothyroidism, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Hypertension (narrow), Hypothyroidism (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions: GARDASIL
Diagnostic Lab Data: Blood test, inflammatory values: normal; Electrocardiogram, normal
CDC Split Type: WAES1403DEU006601

Write-up: Information has been received from Sanofi Pasteur MSD (report number DE-1577272925-E2014-02099) on 12-MAR-2014. Case was received from a healthcare professional on 07-Mar-2014. Case is medically confirmed. An about 15 year-old female patient received a third dose of GARDASIL (lot-no., injection route and site not reported) on an unspecified date in 2009. Mid of 2012, at the age of about 18 years, she developed tachycardia, arterial hypertension, hypothyroidism and endometriosis. She also felt exhausted. ECG and inflammatory values showed normal results, myocarditis as other cardiac diseases were ruled out. She was medicated with beta-blockers (not otherwise specified), BELLA HEXAL and unspecified thyroid drugs. She also received psychotherapy. Due to exhaustion, the patient was only able to work for four hours per day. At the time of reporting she had not recovered. According to the reporter, the events were not related to vaccination. Patient received two doses of GARDASIL on unspecified dates, toleration was not reported. Upon medical judgement the company assessed the case as serious due to disability (not able to work normally) and duration of the events.

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